Information Collection Requirements in HSQ-108F Assumption of Responsibilities and Supporting Regulations in 42 CFR Sections 412.44, 412.46, 431.630, 456.654, 476.71, 476.73, 476.74, 476.78
ICR 200206-0938-002
OMB: 0938-0445
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0445 can be found here:
Information Collection
Requirements in HSQ-108F Assumption of Responsibilities and
Supporting Regulations in 42 CFR Sections 412.44, 412.46, 431.630,
456.654, 476.71, 476.73, 476.74, 476.78
Extension without change of a currently approved collection
This information
collection request is approved consistent with revised supporting
statement provided on 08/13/02. This approval does not extend to
the requirements in 431.630(b) or 476.78(b)(2) as they are approved
separately under 0938-0359 through 03/2005.
Inventory as of this Action
Requested
Previously Approved
08/31/2005
08/31/2005
08/31/2002
6,036
0
6,417
81,818
0
46,834
0
0
0
This rule establishes the review
functions to be performed by the PRO. It outlines relationships
among PROs, providers, practitioners, beneficiaries,
intermediaries, and carriers.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.